Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $68.09 / $71.09	Facility		$30.00	$68.09	$71.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $90.00 / $100.00	Facility		$11.88	$90.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $25.00 / $39.61	Professional		$10.40	$25.00	$39.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $76.50 / $93.50	Professional		$50.00	$76.50	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00